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Permit CITY OF TIGARD MECHANICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: MEC2015 00491 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/21/2015 Parcel: 1 S 133DA07700 Jurisdiction: Tigard Site address: 12624 SW SNOW BRUSH CT Project: Coffey Subdivision: AMART SUMMER LAKE NO.2 Lot: 137 Project Description: Installation of range hood. Contractor: MURRAYHILL REMODELING LLC Owner: COFFEY, JOEL R&ALINE P 14965 SW HEDLAND LANE 12624 SW SNOW BRUSH CT BEAVERTON, OR 97007 TIGARD, OR 97223 PHONE: 503-522-8288 PHONE: 503-349-1262 FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 07/21/2015 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 07/21/2015 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/21/2015 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ules adopted .y the Oregon Utility Notifi - '•• -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou ay obta. f - copy e the rules or dir: questions to O by -fling 503.232.1987 or 1.800.332.2344. I sued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applical E! I% 1'P FOR OFFICE l SE ONLY City of Tigard Received Permit No.: IN Date/By: '7 � —o(�yr/ • 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review m Phone: 503.718.2439 Fax: 503.598.1 L 21 2015 Date/By: OtherPennit. T I c.A It 1 Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF F1G;ARO Notified/Method: Supplemental Information =. 11111111111111111.11.. 11111...11.11.111M1111111. Mechanical permit fees*are based on the value of the work ❑New construction gl Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ I - ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder El Other: Description I Qty. I Ea. I Total Heating/cooling: Air conditioning 46.75 Job site address: /2 6 2 y 5 bt/ $4 ow 6✓,SIt C7/1 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /', 1,d, On q 7$0i3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: C:3J —t U Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert _ 33.39 1/4 f Flue vent for water heater or gas 40-1-6-e tiLFDd/ /)/S T2' -1 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER Other: 23.32 Environmental exhaust and ventilation: Name: /`C E, 6, I'� Range hood/other kitchen G J / equipment 1 33.39 Address: /Z 6 Z y SZt/ 5 M/Jr esh C748 Clothes dryer exhaust 33.39 • Single-duct exhaust(bathrooms, City/State/ZIP: i I''a 1/e/ ,2/7 f-77 Z 3' toilet compartments,utility rooms) 23.32 Phone:(.s-a3) ° 3'Cf-(2.60 Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: FGas u rn heat ace,etc.pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) I Fax::( ) Fireplace Range E-mail: Barbecue Clothes dryer(gas) // Other: Business name: 7)7,e ifv ,i ! Pe/mom/h-` LLC Address: /Y96.- sw /I c:,/ i'1i e Subtotal �} City/State/ZIP: `c,��./c/� (-re re �/7 7 7 Minimum permit fee($90.00) /©' Plan review(25%of permit fee) ---- Phone:(5 c') 5"z2_ "2 'tg Fax:( ) State surcharge(12%of permit fee) /o. l CCB lic.: 2orsvi 23 /2 /;4//S TOTAL PERMIT FEE MO. g.C) This permit application expires if a permit is not obtained within 180 t days after it has been accepted as complete. Authorized signature:,�fri," yf/ • Fee methodology set by Tri-County Building Industry Service Board Print name: A 4' /24,fc y'c/5 I Date: 77z(/O5' I:\Building\PermiEaUMEC_PermitApp_040113.doc 440-4617r(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. l:\Building\Permits\MEC_PermitApp_040113.doc 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12624 SW SNOW BRUSH CT, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00491 David Young Violation Summary: Inspector Contractor